A nurse is providing discharge teaching about infection control at home for a client who has tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?

"I will have to move out of my family's home until I am no longer contagious."

"I will place my used tissues in a plastic bag."

"I will cover my mouth with my hands when I have to cough."

"I will not go in public areas until I am cured."

Answer and Explanation

The Correct Answer is B

Rationale:
A. "I will have to move out of my family's home until I am no longer contagious.": It is not necessary for the client to move out of the home, but precautions such as proper ventilation, wearing a mask, and isolating in a separate room can reduce the risk of transmission to household members during the contagious period.

B. "I will place my used tissues in a plastic bag.": Disposing of used tissues in a sealed plastic bag helps contain respiratory secretions and prevent the spread of Mycobacterium tuberculosis. This is an appropriate infection control practice that demonstrates understanding of proper hygiene.

C. "I will cover my mouth with my hands when I have to cough.": Covering the mouth is essential, but using the hands increases the risk of spreading bacteria through contact with surfaces. The client should be instructed to use a tissue or the inside of the elbow to minimize contamination.

D. "I will not go in public areas until I am cured.": Total avoidance of public areas is not necessary, but the client should avoid crowded places and public transport during the initial phase of treatment, typically the first few weeks, when they are still contagious.

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Correct Answer is B

Explanation

Rationale:
A. Continuous passive motion device: This device is typically used following total knee arthroplasty to maintain joint mobility and prevent stiffness. It is not commonly indicated after total hip arthroplasty, where excessive hip movement is discouraged during early recovery.

B. Elevated toilet seat: An elevated toilet seat helps prevent excessive hip flexion, which reduces the risk of hip dislocation after surgery. It allows the client to sit and stand more safely without bending the hip beyond 90 degrees, which is a critical precaution following hip arthroplasty.

C. Trapeze bar: A trapeze bar may assist some clients in repositioning while in bed, but it is not a standard discharge requirement for hip arthroplasty. Its use is more common in inpatient rehabilitation or in clients with prolonged immobility.

D. Compression garment: While compression stockings may be used to reduce the risk of deep vein thrombosis (DVT), a compression garment is not a standard or essential piece of home equipment following hip replacement surgery unless specifically indicated by the healthcare provider.

A. Use a 3 mL syringe to flush the PICC following infusions. B. Assess the PICC infusion system systematically. C. Change the needleless connector device on the IV tubing after each infusion. D. Provide daily dressing changes to the PICC insertion site.

Correct Answer is B

Explanation

Rationale:
A. Use a 3 mL syringe to flush the PICC following infusions: A syringe smaller than 10 mL creates excessive pressure, which can damage the catheter. A 10 mL syringe or larger should always be used to flush a PICC to maintain catheter integrity.

B. Assess the PICC infusion system systematically: Systematic assessment of the PICC line, including the site, tubing, and connections, is essential for detecting complications such as infiltration, infection, or occlusion. This promotes safe and effective use of the catheter.

C. Change the needleless connector device on the IV tubing after each infusion: The needleless connector device does not need to be changed after each infusion. It is typically changed every 7 days or if contamination, leakage, or other issues are noted.

D. Provide daily dressing changes to the PICC insertion site: PICC dressings should be changed every 7 days if using a transparent dressing, or sooner if the dressing becomes damp, loose, or visibly soiled. Daily dressing changes increase infection risk unnecessarily.

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A nurse is providing discharge teaching about infection control at home for a client who has tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

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